P.r.i.d.e. Inc.
NPI #1669664231 in Logan, West Virginia
Provider Information
- NPI Number
- 1669664231
- Entity Type
- Organization
- Organization Name
- P.r.i.d.e. Inc.
- Primary Specialty
- Preferred Provider Organization
- Enumeration Date
- Aug 16, 2007
- Last Updated
- Aug 16, 2007
Practice Location
- Address
- 699 STRATTON ST
- City
- Logan
- State
- West Virginia
- ZIP Code
- 25601-4020
- Phone
- (304) 752-6868
Authorized Official
- Name
- MS. BRENDA YORK
- Title
- BILLING CLERK
- Phone
- (304) 752-6868
Specialties & Taxonomy Codes
| Specialty |
|---|
| Preferred Provider Organization |
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